Fipples Nipples

Sorry...I know you all were hoping for a picture of my foobs..Instead you got this ugly picture of me..

Hellooooo! Yes, I am still alive. I know you all have been wondering where I have been/why I haven't written in so long...Well, the honest truth is that this REALLY crappy thing happens sometimes....And that REALLY crappy thing is called LIFE. Between being a full time mom, working full time as a nurse, being a full time maid/cleaning lady at my home/personal cook, and everything in between, I have just about FREAKED THE fuck out. (To be quite honest.)  Nothing serious has happened,  just a bunch of LIFE, and a few nervous breakdowns and hormonal psychotic moments, multiple times a day... So yea. That's my excuse........

But the good news is that on Monday, I am GETTING NIPPLES!!!!!!!! YAY! This will be the last step to my reconstruction process. (Not counting areola tattoos) There really is light at the end of the tunnel. And the light at the end of that tunnel really resembles nipples. Hehe.   ( . )  ( . )

I am not getting nervous about getting nipples at all, but it's weird and kind of unnerving because I have become so used to seeing myself in the mirror, looking like mastectomy barbie doll. Being a woman, being a nurse, the overanalytical thoughts have begun to float inside my head, and are overtaking my brain lately....Thoughts like-"What if the nipples, or "fipples" (fake nipples) don't look right and it messes EVERYTHING I have had up to this point, up?".....Thoughts like-"What if the bloodflow to the fipples isn't adequate and one of my fipples falls off in the middle of the night and my dogs eat it?"  Thoughts like-"So my fipples are going to be ETERNALLY hard??"...Thoughts like-"What if the fipples deflate/flatten out? What's the point??" No pun intended there....Hehe....Thoughts like-"What if I don't like the fipples? It's not like I can just warm them up and they'll go away....." GAHHHHHH!!!!

But seriously. It's scary. Every fucking step to getting your breasts reconstructed is scary as hell. Yea, they are just boobs, and like I've said before....Boobs don't make you who you are.....But would you want your nipple falling off in the middle of the night? Would you want your husband to gently caress and kiss your nipple one night and then get a mouth full of nipple? This is serious stuff....

But on to the more serious/medical stuff.....Because if I keep freaking about my future fipples falling off, then I am not going to sleep at all tonight. And you probably won't either....And you probably aren't going to look at your own nipples the same way for a while, huh?? 

 My plastic surgeon that performed my surgeries will be doing my nipple reconstructions in her office. She said it will take about an hour, and she will only use local anesthesia. There's no need for general anesthesia because I have no feeling at all on my boobs, due to the fact that they cut them off (I had a double mastectomy...DUH!, and I now have silicone implants...(FYI-if you are new to my blog, you need to go WAY back to my older posts to catch up...Starting in July...) There are places on my foobs that I have some sensation, but over 97.3% of my foobs have absolutely no feeling at all... My doctor said that I won't even require pain medication and can even go shopping afterwards......But then the THOUGHTS enter............

"What if my fipples are bloody for a couple of days? I can't walk around with bloody fipples...that would freak the crap out of people..."

"What if one of the nipples starts falling off and starts taking the skin off my foob with it and I can't feel it? Then my muscle/silicone implant would plop out on the ground randomly...Weird alien shit there."

"What if the doctor accidentally pierces or cuts too deeply into my skin while doing the procedure and ruptures one of my implants????????????

AAAAAAAAGHHHHHHHHHHHHHHHHHH

So anyways..(See I told you I have multiple psychotic/hormonal moodswings on a daily basis...I warned you!) .She will use a "CV flap" method to form the nipples....She won't have to take skin from any other part of my body or anything like that...The skin that she will use to make the nipples is the skin on my breasts......Here is an illustration of it to kind of give you an idea...



I realize this isn't a boob and a nipple, but you get the idea...

 There's a lot of other methods of "making" nipples, I guess it just depends on the surgeon..And by the way, there is an old school method where they take skin from your VUUULLLLVA and use that skin to make a nipple. My opinion-if your doctor wants to do that method to make a nipple, RUN AS FAST AS YOU CAN! And if the surgeon happens to be a man, ask HIM how he would like it if part of his WEEWEE was cut off to make a nipple when there are other, much easier and less painful methods....And then kick him.In the weewee.

I will attempt to take pictures during the procedure because my doctor is just cool like that and lets me do stuff like that, but if not, either way, you know I will be eager to post pictures of my fipples as soon as I can. So stay tuned for Angela's fipples....And remember.......

Go ahead and google "nefarious". I know you want to.

Tits Nips Tats

I have come upon an absolutely wonderful discovery! As most of you know, I am currently nipple-less...And areola-less...(Say that 3 times fast)...Well, I have decided that I am going to have my nipples reconstructed, and my plastic surgeon explained the process to me at my post op appointment 2 weeks ago..(Has it been 3 weeks since my surgery now?..DANG!)...She does, what is called, a "CV Flap method", and it's all done right there in her office...No anesthesia..No skin grafts...Just a little local anesthetic (like lidocaine)is used to numb the skin, and the skin on my foobs is all the skin she will use,and she said it would take about an hour, and I could even go shopping afterwards...( I will explain the method in a later blog..I promise!) And guess what day I am going to get my new nipples??? VALENTINE'S DAY!! I still haven't decided if these nipples will be my Valentine's Day present, or my husband's Valentine's Day present....Hmmm....Heehee...

Anyways....Knowing that I will soon have nipples, I got to thinking about areolas...(Obviously...Who wouldn't...Sheesh...Ha!) Usually, after breast and nipple reconstruction, most women get their areolas, which is the dark pigmented part of skin around the nipples, tattooed on to their breasts!! Yes, TATTOOED! There are some plastic surgeons that are skilled at doing cosmetic tattoos and there are some nurses that are trained to do these types of tattoos....But unfortunately, my plastic surgeon is not one of those, and said that I would have to find someone on my own to do the tattoos....GREAT.....(I'm being sarcastic...This is not great....Can you imagine me walking into some thuggish, ruggish tattoo shop, asking for areola tattoos? UH, no...)

Well, thinking of all of this got me REALLY thinking...I started searching on the internet for temporary areola tattoos.....More like TIToos....And guess what...I found them! I bought them...I now have temporary titoos! And they are freaking awesome! I am so proud of my temporary titoos, that I have been showing them off to all the girls I work with...(Once again, we aren't freaks...We are nurses....Well, I take that back...Yes, we are freaks...)

Anyways, these temporary areola tattoos come in different colors....(Not like neon colors or anything, but like skin colors....) They go on just like a kids' temporary tattoo, and they last for 2 weeks...The ones I've had on, I've had on for about a week, and they are still going strong. However, it is a little challenging to get them even....And it's weird because now, my kids think my boobs have "magically grown nipples" somehow....Oh gawd...My poor children are going to have such a skewd view of breasts....Anyways...

I just think it is such a good idea, and for those of you out there who are post mastectomy/post reconstruction and are nipple-less and areola-less like me, then these tattoos are something to try out before REALLY getting the permanent areola tattoos..Here is the link to the site where I ordered them from. Rub On Nipples

And you know me....I take pictures of my foobs all the time, and post them so you know what they look like at all times...So of course I took a picture of my foobs with the tittoos...So here ya go....

See...I told you it was hard to get them even....Oh well..Still makes me feel almost whole again...

ICE CUBE FOOB SYNDROME

So it has been a little over a week since having these new foobs, and there are some definite changes that I have come to discover with owning silicone foobs.. (Note that I say "foobs" because it is one thing to have silicone breasts-as in god given breasts, still intact with breast tissue and fat, and then have silicone foobs-as in post mastectomy/breast reconstruction, having your boobs removed, and having no breast tissue..It really does make a difference from what I hear and read.)  Well, anyways, this past week has been just weird, and it all surrounds my chest area..Let me explain..

With the weather getting colder, I've noticed something very strange in my foobage area going on...It pretty much feels like I am wearing a wet, cold shirt, BUT only in the chest area, AT ALL TIMES..But when I check to see if my shirt is wet, it's not....WEIRD! Then, you know how in my one of my following posts I wrote about how my hands were always on my chest area since having foobs???? Well...Yea, that still happens, and my hands will be unconsciously feeling myself up, and then I realize that my foobs feel like ice cubes. It's quite disturbing...

But there IS a logical explanation to this weirdness.....Let me explain....

My foobs no longer have blood circulation going through them....They don't have tissue/fat to keep them warm....And because I have SILICONE implants, which are very dense and cannot absorb heat from my body, (unlike saline from saline implants, which would actually make my foobs warmer because saline is not dense and absorbs heat), the warmth from my body cannot reach the top of my foobs, which results in the ICE CUBE FOOB SYNDROME! Which also results in the wet t-shirt contest feeling, too.....Get it? I know, I know....It's a fairly simple concept....But when you are faced with mysterious ice cube tits out of no where, you kind of lose the ability to think clearly....

I guess the plus side of this is that I don't actually have any nipples, because if I did, they would definitely be able to cut glass with how cold my foobs get...

Check out that nip

What are you Full of?

We just got back today from my follow up appointment.(.My post-op appointment, to be exact)..Everything looks good! My poor foobs are starting to bruise, and are in that lovely diarrhea-yellow color bruised stage right now...But they look good. And as far as that lump that had me scared.....(You know, the one that my doctor sent off for biopsy during my surgery, because she found a lump of mystery tissue while taking my expanders out...) Well, it turns out that it was just dead fat tissue (fat necrosis), and nothing serious....THANK GAWD! I was kind of stressing over that. I knew deep down that it was probably going to be nothing, but still, to be faced with "We found a lump and don't know exactly what it was" kind of freaked the fuck out of us after surgery......So yeah...WHEW!

Here is a picture of my foobs, without the steri strips on...(My doctor took them off today.) She also didn't use any stitches, staples or anything...She used internal stitches and being a week out of surgery, and with these scars being reopened, I think they have healed beautifully.....You can see that my left side is still a little higher than the right, but that is because of the swelling, and my doctor thinks that it will settle into where it is supposed to in the upcoming months...You can see the bruising around the scars....The lovely diarrhea yellow color...

6 days post exchange surgery.

It feels weird to finally be done with the breast part of this whole journey...No more expanders...No more fills....No more.....The next step-Nipples......That is another blog....Not for tonight though...Not tonight......

I have just been soooooooo exhausted lately. I don't know if I am trying to do too much, not allowing myself to rest, or what, but I get so irritable at certain times of the day because I am so tired..I can barely keep my eyes open. (Of course, except for now, and it is almost midnight....I should be in bed!)  I understand that it hasn't even been a week since I had my surgery, and that I need to allow my body to heal, and I need to rest, yadda yadda yadda, but come on.....I'm not some geriatric patient who needs a daily nap...I feel like such a slacker when I have to wimp out and go actually rest my eyes for a while during the day...I don't work like that...And plus, when you have a 6 year old and a 4 year old, it doesn't work like that either.....Things have to be done...And dear ol' husband just won't do a lot of the things that mommy does.....Like laundry, dishes, cooking, making beds, sweeping, etc.....The show must go on.....I ain't no geriatric!

ON THE OTHER HAND.........I absolutely DO feel like a geriatric, in the aspect of being so constipated that it has completely consumed my days.......Yes...This happened to me the last time I had surgery...I went 8 days without taking a shit after I had my first surgery, and it was possibly the worst experience EVER to physically go through...This time, it's about the same....It is awful!

I am so full of shit that I am afraid to eat solid food because I don't want to" back it up" anymore than it already is inside of me...Is this what old people go through? SHEESH! And I even started taking stool softeners before my surgery this time, to try and prevent this problem.....I have been doing everything I tell my own patients to do when they tell me they are "backed up".....I've been drinking tons of water....I've been taking my colace (stool softeners), and MOM (milk of magnesia), I've been trying to move around......It is just due to the pain medications, and the general anesthesia I had for the surgery....I guess that anesthesia really puts my bowels to sleep..For like a week......SHIT! I am going to stop taking my pain medications, put up with the pain, just so I can take a shit! Yea, it's that bad...

Sorry....I know you just wanted to know all of that....But this is real stuff....lt REALLY happens to lots of people after surgery! And just because I am a woman, with beautiful boobs, that doesn't mean I can't talk about being full of shit! We are all full of shit at one point or other....(Some of us are just more than others...)

Here's me, at my post op appointment.And yes..I am full of shit..

What Foobs Have Done for Me

Since having my breasts removed, and having what I term "foobs" upon my chest, a lot of things have changed in my life...There are the obvious, and then there are the weird......Let me explain....

THE OBVIOUS
1.First and foremost, no longer having boobs has literally saved my life...Who knows.....If I still had my god-given breasts right now, those cysts and "benign" densities that I had in my breasts could be forming into cancer...Considering that my mom was only 32 when she discovered her breast cancer, who is not to say that it could have happened to me as well? My boobs are gone, and I don't have to worry about breast cancer any longer.....Take THAT, breast cancer!

THE WEIRD
1. How many people, without going through this type of situation, make a blog completely devoted to their boobs? Uh, like none....I started this blog to vent, to be able to educate others, and to make light of the situation, but still...It is all pretty much about my boobs/foobs....I think that is kind of weird. But it works, and it helps others, so whatever...

2. Before going through surgery to have my breasts removed and crap, there is no way in hell that I would have ever posted pictures of my boobs on the internet for all to look at and stare at and share with their friends.......But because I have no breasts now, and I want people to see what the whole process of mastectomies to expanders to filling looks like, I post pictures.....Weird....I guess I've no real attachment to these foobs like I did to my real breasts of the past, and that's why I can post pictures of them all over the internet for people to look at....(And probably laugh at...) And yes, there will be lots more with my next surgery coming up in a week...STAY TUNED!!! (I'm advertising pictures of my foobs....I'm a freak.)

3. I have flashed my new boobs to so many people, I can't even remember who all has seen them.....People I work with, friends, friends of friends, friends boyfriends (with their approval, and because they asked....), family, etc......Now don't misunderstand me, I don't go around in a drunken state of mind flashing my weird looking boobs....NO.......That would be beyond weird....But like at work......You've got to understand...I'm a nurse...I work with other nurses.....Seeing things like funky looking foobs is nothing for us.. And for a lot of them, they've never seen reconstructed breasts with tissue expanders, so I am totally open to showing them, and explaining the whole process of surgery/the fills, etc.....I think just about all of my close friends have seen my foobs....By request..(And for crying out loud, I'm not shy, I post pics of them on the internet!)

I know I don't flash my butt, but I saw this, and thought it was hilarious...

4. Along with letting people oogle over my new foobs visually, to let them get the whole experience, I'll let them feel me up....You know how I'm always saying "These damn tissue expanders are like rocks, blah, blah, blah..." Well, you don't really understand (and even then, you don't completely), until you feel them with your own two hands..So in order to do that, I will allow you to touch my boob or boobs.....I don' t feel any of it, so it's not like you are violating me, and I give you permission to do so.....And even if  I didn't give you permission and you touched them without me looking, I wouldn't be able to feel it, so I probably would never know....But yea....So many random people have touched my foobs and then say, "OH MY GOD! THOSE ARE LIKE SOLID STEEL!" Yeah.....Told ya. I am not lying...Not in the least bit.

5. My hands are always on my foobs....Always....It's either because they hurt and I am trying to manipulate one of the expanders to get out of my ribcage, or trying to push my left expander down to be even with the other side (orders from my plastic surgeon) or something......Or it's because the nerves are trying to regenerate and they itch and burn internally, but I can do absolutely nothing about it.....So I feel myself up....(Or it looks like that)...I'm sure my friends at work are used to seeing me always fondling my foobs, but at other places....Yea...Not so much.....And I need to be a little bit more aware of when I am fondling my breast area....

I guess what it boils down to is that I have completely disconnected myself with my breasts.How could I not..Breast cancer killed my mom...Killed her aunt....Has killed so many other great women..And when I found out that I was BRCA2+ and that I already had shit going on in my breasts, I hated my breasts so much ..I had them removed....And now, I have fake breasts upon my chest....And they may not be real, but my experiences are real and my past is real, and that is what makes us continue to grow in our journeys...As weird as it may be to you, but to me, it is real, just as real fake as these breasts are on my chest.

So.Fair warning....I'm gonna bitch..If you don't want to read it or whatever, then that's your problem, so click the little box with the "x" in it, up at the upper right hand corner......NOW....So anyways.....I've been sick since the day after Thanksgiving, which is also the day our propane/gas went out, and IS STILL OUT (It just ran out....We pay our bills..We ain't no scum that don't pay our utility bills, alright?)  Anyways...And of course, every night has been freezing, literally, and we have no heater because of it....The people at the gas company say "The truck is broken down, so it'll be a while until we can get someone to come and fill the tank up with more propane." Wow....So much for customer service, eh? So my poor kids have been having to bundle up at night, with extra blankets on their beds, just to stay warm....On top of that, I can't cook (not that I would really want to with me being sick as shit), but still...Our stove and oven are gas.......And I've been sick, and am not getting better, in fact, I think I just keep getting worse....Maybe it's because WE HAVE NO FUCKING HEAT IN MY HOUSE!

Oh, and did I mention that I cannot afford to be fucking sick right now? I HAVE SURGERY IN 6 DAYS! I am on an antibiotic, I have been staying hydrated, been trying to rest as much as possible, but am I getting better? NOOOOOooooOOOooo. Hmmmm.... I wonder why...... Do you think a little thing called "stress" has anything to do with it? Even though I THINK in my mind I am ready, not anxious at all about this surgery,the bottom line is that it's still surgery....Boob related surgery....(Well, foob related, now, considering I don't have boobs anymore).  Any boob/foob related surgery takes me back to those childhood days of when my mom was having to have surgery, and I was scared and didn't understand why my mom was gone for weeks at a time, or why she was so sick, or even why she had to have her breast removed....It is a source of stress whether I like it or not.....I accept that....Now dealing with that-That is another story...

And I guess for all this to happen this time of year, which brings back memories of my mom's last days, her funeral, which was very traumatic for me, etc......Yea...It still very much affects me. And right now, my body is exhausted....My mind is exhausted..I can't focus at work because I'm sick and exhausted and stressed...I don't have much fight in me right now.....Stress fucking sucks dirty balls. I hate it.

So ye.There ya go...Sorry...I can't be a ray of fucking sunshine all the time....And if you can't handle me at my worst, then you sure as fuck don't deserve me at my best...

I hope I'll be able to write one last time before my surgery on Tuesday....I want to kind of put an outline of pictures on here, from day one of my mastectomies, up until now....And of course, I will post pictures of my new squishy foobs after the surgery next week...But if I have got to get better, or else there is not gonna be a surgery....That is not going to happen!

EXCHANGE surgery!!

So I don't think I have mentioned, but my next surgery is on December 7th.....YAY! I will be having these tissue expanders taken out, and will have silicone implants put in.....It's called "Exchange surgery." And I am NOT NERVOUS at all, to tell you the truth...I am so anxious and so ready to get these damn rocks out of my chest. Seriously. From what I hear, this surgery is a piece of cake compared to the first one, so I have nothing to worry about, or to stress out about...I am so ready for it!!

I cannot wait to have these tissue expanders out...Like I've said before, having tissue expanders is like having two huge rocks sewn up inside of you, and the pain is constant, and crushing, and uncomfortable, and shitty, and it just plain sucks ass.....To have squishy boobs, uh, foobs, again.....AWWWW.....To be able to take a deep breath again without my muscles spasming, or without a crushing feeling on my chest.....AWWWW.....To be able to sneeze in peace again without breaking a rib...AWWWWW....I am so ready. 

Oh....And the reason I've been having such pain lately is because, apparently, I ripped my internal stitches, around the Alloderm or something around the expanders....I guess after my first surgery, I went back to doing "normal" stuff too soon....I went back to work 2 weeks after....I was cleaning my pool, picking up dog shit, doing wound care/wound vacs at work (I'm an RN), and vacuuming waaaay too soon....I guess they have those restrictions for a reason.....My doctor gave me STRICT instructions to NOT DO ANYTHING for 2 weeks after this upcoming surgery.....I sure hope I can follow those rules....But it's kind of hard when you have a 4 year old, a 6 year old, and then a husband who doesn't really help out that much....Harsh, but true....

So yea......I'm ready to exchange out my foobs....Oh....And get this.....I am supposed to start my period on the day I have surgery.....Wow...Wonderful, huh? 

These Boulders Upon my Chest

This is what a bilateral mastectomy, (non nipple sparing, skin sparing) looks like. WITH immediate reconstruction, using tissue expanders!!! OH JOY!

 Since I am completely done with my tissue expansion phase, I wanted to take a look at my first picture of my foobs, and compare it to the monstrous boulders that lie inside of me currently. The picture above is the picture that was taken back in July, just a few days after my surgery. At the time of my surgery, my plastic surgeon put 260cc's of saline into the expanders. This usually doesn't happen in most cases, but because I live far away from my doctor, and would have to return every 2 weeks for my fills, she wanted to go ahead and give me a head start to my fills. (THANK YOU, Dr.Tsao Wu!!!) The weird ass looking thing in the middle of my foobs was the little cord that I called the "pain pump" that was inserted under my tissue to continuously leak local anesthetic for about 3-4 days to help decrease the pain in that area.


During these 3 months, with bi-weekly trips up to Albuquerque, NM to get my expanders filled, (which is a 550 mile round trip, WITH a 6 year old and a 4 year old, mind you,) I am so happy that I am done with the "fill" chapter of all of this. Yes, the pain is still something that I have to deal with on almost a constant basis, and that's fine. I'm just so glad that we don't have to make those trips like that every 2 weeks anymore. (But like I always say, this is what I wanted and felt I had to do to prevent myself and my family from having to invite cancer into our lives, so I guess I can't complain at all, huh...)  OH, and yes, my doctor is freaking awesome!


This is what my foobs look like NOW! 500cc's of saline inserted into the expanders. I am now just waiting for my exchange surgery. IMPATIENTLY waiting, that is.



Hooter Humer

I was thinking about some random, (TOTALLY RANDOM), stuff today while I was driving around, working.....And I decided to share this totally random shit with YOU! So here goes...

*What would happen if I went in to Hooters and applied for a job? First of all, I don't even technically have breasts, and this establishment is best known for its' beautiful women and their big, beautiful, volumptious HOOTERS. I don't have boobs..I have foobs...They are totally not real breasts...But they look real. They definitely do not feel real....There are no nipples on my breasts, and if I didn't tell you that I had a double mastectomy with immediate reconstruction, there is no way that you would be able to tell....Except for maybe a hooters master? The owl?? WTF?

Duh

*What would happen if I decided to be stupid as shit and go into a tattoo place to get my non-existent nipple pierced? They would take me to the back, *hopefully* sterilize their equipment, tell my to take my top off, which I would, and then WTF!!!??? NO NIPPLES! They would be scarred for life. No pun intended...  ;)

This lady is getting felt up by some random ladies...

*These damn tissue expanders are like rocks.....(Like I've said a million times before.) They don't move...What would happen if I went to have a pap smear by a random ob/gyn doctor who didn't know anything about my past medical history (which I would NEVER LET HAPPEN IN REAL LIFE) , and get a manual breast exam done by them during a pap smear appt or something......They would feel my foob and be like "HOLY SHIT! WTF! Why is it so hard? That is totally not normal!" Haha. Totally random..I know.

*I should totally wear a shear or see through t-shirt sometime.....(Obviously with no bra...I don't have to wear one.) I'm sure I'd get some weird looks and really let down some perverted men hoping to see some nipple action.

This is totally not me....

So see.....Totally random shit....Weird as crap.....But I had to share it with you. You are very welcome.

MISS Angela

Picture taken on 8/15/10. I currently have 360cc's in my tissue expanders. I still have 3 fills to go..

"Do you miss your old boobs at all?"  This is a common question that I am faced with lately...Quite honestly, the answer is, "No."  But I will tell you what I miss...I miss my nipples...I really do. I don't know why. It's not like they served any purpose to me anymore...I have had my children, have breastfed them, (and am NOT having any more kids), and let's just be a little more honest here-my nipples really didn't serve any purpose in the bedroom.....But still...I miss my nipples...It's hard to look in the mirror, look at my gigantic foobs, and just see scars run across the lengths of them...Without nipples. It's like trying to look at your face without eyebrows or something. It's just wrong. It just looks weird...

I also miss being able to take a deep breath. And the ability to sneeze. Sneezing gives you an amazing feeling afterwards, but I can no longer experience this, due to the tissue expanders not allowing my chest to fully expand..Which is what happens when you sneeze.....It's awful. I pray that I am not in public when a sneeze comes on, because I start freaking out and yell/spaz out when the "sneeze" occurs. It's bad...And then I cry a little because of the severe pain it causes. Not cool at all. I actually scared the crap out of my kids the other day when I sneezed. They wouldn't come near me for about 3 hours afterwards. Yea..It's that bad.

I also miss the softness and jiggly-ness of boobs....The foobs I have right now don't do anything. I actually let my friends feel me up, just so that they can feel how H A R D they are. I always say that having these expanders in are like having big rocks sewn up inside my chest...Seriously. I can feel the edge of these "rocks" scrape up against my sternum all the time, and sometimes they get stuck between my ribs...UGH. Not cool, and it hurts...

I also miss not being able to sleep on my stomach....Awwwwwww.....I think I dream about being able to sleep on my stomach...I miss it that much. I am finally able to sleep on my side, but it's very awkward. I wake up feeling like the side I slept on is all crooked or something...

But with all of these things that I miss so much, I think about the things that I have gained. Number one, I no longer have to worry about breast cancer. The number one enemy in my world. Breast cancer is no longer a threat to me. Yes, I have to deal with some things that I don't like and obviously having to give up my god-given breasts, but I have peace of mind now. I wouldn't trade that for anything. I don't have to worry about my kids losing their mom to breast cancer when they are young. I don't have to worry about leaving my husband behind to raise our children alone because of breast cancer. I don't have to worry about WHEN anymore. Breast cancer is no longer a threat to me because I don't have breasts anymore.

So yea, I might miss my natural breasts at times...It's normal to grieve the things that we once had....But because I was so lucky to be able to have reconstruction done at the same time when my natural breasts were taken from me, these allow me to still feel like a woman-WOW! That's freaking amazing. Technology is amazing. I absolutely believe that had I not have had this surgery, I would be fighting breast cancer, probably in the next 10 years or so. (Partly because my mom was so young when she was diagnosed. She was 32. I am 26. My mom was BRCA2+, as well as I) I also believe that if my mom could have had her breasts removed before she had to fight with cancer, she would still be here today.  That's why I had my breasts removed.

So let me answer that question again..."Do you miss your old boobs?"  No....Not at all.

Drains, Drains, Go Away, and I Got my Foobs Filled up the Other Day!

Actually, it was Monday when I got my dreaded drains removed and got my first "fill"...And today I am definitely feeling and seeing a difference in size on my chest. But I am just so, so, so, so, so, so, so happy to get those damn drains removed.

I cannot even begin to explain how GAWD AWFUL those things were. Seriously. Having those drains were  like having 2 extra, stupid, deformed, wiggly arms that you have to try to hide and find some way to function throughout your day with. I hated those things. I couldn't wear anything because of them, I had to shower with a necklace/rope tied around my neck just to accompany them, and the sites where they entered my skin itched and hurt so bad all he time, I thought I was going to go insane. They were purely from the devil! Haha. (Not really! I know the drains serve a very important purpose, but they really suck to have to live with them for 2 weeks.BELIEVE ME!! )

In fact, the day that we were leaving to go back up to Albuquerque for my appointment, I had a pity party moment for myself, and started bawling in my closet because I had no clothes that I could wear that would look okay on me, with my "mounds"for boobs, without a bra, and I also had nothing that I wanted to wear that would conceal those fucking drains. I had had enough of it all, and started bawling in my closet, standing in front of all of my clothes...Poor Bryan, my husband, walks into the closet, to me bawling, mumbling something about "I can't wear anything without looking like a freak or like a guy trying to wear women's clothing......And I hate these damn, fucking drains!!!!!" He told me that I looked beautiful in anything, and he said, "I'm not just saying that to make you feel better, I mean it."............I know deep down he was just saying it to make me feel better and to stop my psychotic rants.....Poor guy....He got stuck with a real psychotic wife...Now he has to deal with a wife with some fucked up boobs and fucked up emotions to go with them.....God bless him....

Anyways...Knowing that I was going to have my drains removed and get my foobs filled at my doctor's appointment yesterday, I premedicated myself with some pain meds., and muscle relaxers, so that I wouldn't be in as much pain after everything.....Please, please, take that advice, by the way! Having those drains pulled out of your body is no walk in the park. It hurts BAD! The intense pain only lasts like 3-4 seconds, but still....GEEZ! The pain meds definitely took that "edge" off, I believe....

Next, the doctor "filled" me up. This was my first fill since my surgery on July 13th. At the time of surgery, she was able to put 260cc's into each expander, which is a lot more than usual...Usually, I think for most women, the norm is about 100cc-150cc at the time of surgery. My doctor put so much in me to try to limit our trips to Albuquerque, just for the fills. (From Carlsbad to Albuquerque, it's about a 5 hour drive.) From the side, I definitely have some cleavage...But from the front, my foobs just look weird to me. There's no breast tissue there....It's just skin, muscle, and the expanders....And the expanders are basically like having 2 boulders sewed up in my skin, just laying on my chest. They are rock hard...

But here is the process of how the doctor does the fills-

These are what are making my foobs right now

1-Using a magnetic device, she waves this over my foob trying to find the magnetic port on the expander where she can insert the syringe to fill me up.....When the port is found, the device lines up the magnets, showing the doctor that she is over the port, and she marks the spot with a little marker...(If she didn't do this, and if there weren't a port on the expander, then a poke by the needle would basically POP the expanders. The picture to the side is a picture of what the expanders look like with the ports, so you can get the idea if you don't know what I'm talking about.

2-Next, the doctor swabs the marked points with iodine (or whatever else, in case you are allergic to that), to clean the insertion site...(You are lying down for all this by the way....Duh.)

The big ass syringe and needle
that is inserted into the foobs
to fill me up.....OUCH

3-Then the doctor gets this HUGE syringe with this HUGE needle....(I'm not exaggerating....) She inserts this into the marked spot.....Now I was freaking out, because this was my first fill...I didn't know what it was going to feel like...My foobs are numb for the most part...I can't feel any sensation on them...When she jammed this freaking huge ass needle into my foob, I felt my muscle cramp up, and a weird pressure sensation....But not really pain...For me, the doctor inserted 50 cc's into each expander...As she was slowly pushing the saline in, I could feel my chest get fuller and more uncomfortable...Almost painful.....And then she pulled the syringe out, and put little circle bandaids on....It looked like fake nipples. Haha. Immediately after the fills, I could see a difference in size, and could FEEL more pressure on my chest..But like I said before, PLEASE pre-medicate with pain meds, as well as muscle relaxers if you have them prior to these fills, because your muscles will spasm and cramp up, and you will hurt afterwards...Just my nurse-ly advice. Haha.

Wow...Cleavage after mastectomies...
Picture taken after my first fill on 7/26/10

So right now, from the side, my foobs look alright, as you can see from the picture at the left. This was taken after my first fill on Monday. .....You almost can't tell that I had a bilateral mastectomy 2 weeks ago, can you?  But when you see them without being covered up, from the front, it's a whole different story....

But the way I see it is like this......Those scars that I will wear on my boobs for the rest of my life tell a story OF life. Cleavage, no cleavage......Reconstruction or no reconstruction......Pain for a little while after a surgery to prevent cancer VS. the pain of battling breast cancer...........You can't compare any of those.....I don't regret any of my decisions to do this, and even when I have days of pain and tears, I try to remind myself that I no longer have to worry about WHEN I will get breast cancer. I am so lucky to live in the days where technology allows me to choose to prevent something from probably killing me and preying on me...........

I'm Alive!

I'm alive! The surgery went as planned and I now have "foobs"....(Fake Boobs=Foobs). It's been 10 days since I had my surgery and I am doing great..This blog is going to have pictures, pictures of a lot of fooobage, so I am warning you right now, make sure your kids aren't close by while you are reading this, or whatever, that way they don't get freaked out by the site of some of the scariest looking foobs you'll ever see.....Okay....  :)

My beautiful family at the Zoo the day before my surgery

So the day before my surgery, I just wanted to get out, be in the sun, and have fun with my kids. So we all went to the Albuquerque Zoo. I just wanted to TRY and not worry about my surgery.....

 Andrew, my 6 year old little boy, knew that we were in Albuquerque this time for my surgery, and we had been explaining to him, and to our 4 year old little girl, Brooke, about what was going to happen to me...In simple terms. I told all of my family members NOT to mention anything about "mommy's getting surgery so that she doesn't get cancer in the future," or anything along those lines, because my kids associate the word "cancer" with death....(Because they know that my mom died of breast cancer, and so now, when anybody dies, they always ask, "Did they have cancer?"  So we had just been explaining to them that I had to have surgery to take the yucky stuff out of my boobies (yes, we say "boobies" to our kids.)...and they will look different, but it's so that I can be healthy for a looooong time.....We also explained to them that after the surgery mommy would have to have a lot of help to carry stuff, to clean stuff and that I wouldn't be able to lift my arms a lot....They mostly just said, "Okay mom", and went on with their fun, which is what I want...I want them to be kids and don't want them to worry about surgery/pain/medical stuff.....                           

Anyways, that night after the zoo, my family came in from Lubbock, TX, and so my family and my husband's family all went out to eat.  Once again, I was TRYING not to think about my surgery.. Did it work? No....At dinner, the waitress asked, "So are we celebrating something tonight?" And there was an eerie silence..I almost said, "Yea, we are celebrating my boobs being cut off tomorrow." But I didn't, cuz that would have made the waitress feel very awkward, perhaps, and then she probably would've felt bad.....Hmm...I still should've said it, now that I think back....She would have had something to talk about with her friends...

My family the morning of my surgery

So the morning of my surgery arrives....My poor boobs and ESPECIALLY nipples had no idea what was coming to them in the near future.....I took a shower, and gave my boobs a real good look in the mirror when I got out....I would never see those breasts again.I will never again have nipples.. Never again in my life. Yea, they are just boobs, but when you come down to the day that you realize they are going to be taken away from you, it gets a little emotional...But then I had to remind myself why they must come off...And my sorrow went away...A little...

I gave my kids a big kiss and hug, told them I loved them soooo much, and told them I had to go to the hospital to have my surgery, and my little boy got a little teary-eyed....Which made me teary-eyed...Which made the 45 minute drive to the hospital emotional and scary, and I was a wreck by the time we got there....

Me in the OR holding area.

We got at the hospital, I checked in, realized they spelled my name wrong on my armband, and had my birthday wrong, (WTF!!!!!), so we made them fix it, and it created all kinds of chaos. I was already a fucking mess, and then we had to deal with all of that shit.....Geez...They should have given me a free dose of versed just because of all of their disorganization. EGH! Anyways....

I finally got in to the O.R. waiting/holding area, and changed into my lovely gown, Bryan took one last picture of my boobs with his camera phone....(Naughty, huh....BLAH)....And then my IV was started.....Then we waited for like an hour and a half.....During this time, multiple nurses came in, asked me the same damn questions, checked my vitals, and just talked...Most of them knew that I am an RN, so we just talked about nursing stuff, but I was still a mess....On the brink of a panic attack....

There was one time, when I was all alone in my little room, when Bryan left to go to the restroom, and I smelled a very strong smell of flowers.....The strange thing was that there were no flowers around, my door was closed....Here's the weird thing....Ever since my mom died, the smell of flowers have always reminded me of her...I don't know if it's because of her funeral, and all of the flowers we received, and I just associate the smell of flowers with her, or what, but either way, I smelled flowers....STRONGLY....I busted out crying. Bryan came back in the room and I told him what happened, and I told him that I knew that my mom was there with me. She was making it known that she was right there with me, even when I was alone. Even when I felt alone. Amazing .  :)

So finally, the "bartender" (aka anesthesiologist) came in, and asked me questions, and at this point, Bryan, my dad and his mom were in the room with me. The bartender gave me a dose of Versed, and about 15 seconds after that, I remember telling everyone goodbye and that I loved them....BLACKNESS.......

Five hours later, I wake up in the recovery room, sore, and the first thing I do is feel my chest.....(My doctor didn't wrap me up in a compression bra or ACE bandage or anyting)....But I felt  two bumps on my chest, as well as feeling like a car was sitting on top of me....Then I started shaking uncontrollably, which was just a side effect of coming out of the anesthesia..The nurse gave me some IV pain meds and something to make the shakes stop.....But I kept falling asleep and every time I would fall asleep, I would stop breathing, and I would have nurses yell, "ANGELA!! Wake up!! Take deep breaths!"  I just wanted to sleep and those damn nurses wouldn't let me. Haha..I had oxygen on, via nasal cannula, I had 2 drains, one coming out the side of each of my foobs, I had SCDS on that kept squeezing my legs, and I had a pain ball thing that leaked a local anesthesic into the muscle constantly on each side of my pectoral muscles...I was in pain, I was hot, and sweaty, and tired, and hungry....

My foobs covered with dressings, and the cord on my sternum is the "pain ball" tubing

Needless to say, I was in the recovery room for a little longer than usual because I kept doing this "not breathing" thing, and my pain was so severe, they wanted to get it under control before sending me up to my room for the night. I guess during surgery, the plastic surgeon inserted 260cc of saline into each of my expanders, which is way more than usual, and that was why I was having so much pain...She did this to minimize our visits up to Albuquerque every few weeks to get them filled... Finally, after an hour and a half, I was ready to go to my room...

Below are the pictures of the "pain ball" I keep talking about. The surgeon inserted two itty bitty tubes, one behind each muscle, through little insertions by my sternum, and it continuously leaked bupivacaine, which is a local anesthetic, to numb the pain internally...The ball got smaller every day, due to the medicine being leaked into the muscle, and by day 4, I just pulled the tubes out....(Which I couldn't feel, and were about a foot long each!)  Once it was out, I could really tell a difference with the pain. That little thing sure did help out a lot! I missed it when it was time to pull it out.

The insertion of the tubes from the pain ball

According to the surgeon, it is a relatively new thing,

"Pain ball" on day one

The "Pain ball" on its last day...See how it's all empty?

and because of the use of this thing, the hospitals stays after breast surgeries have been reduced to just one night....Which is how long I stayed in the hospital..One night...That's it. Everybody can't believe that, but honestly, there was no reason to keep me there longer, unless I couldn't tolerate the pain without IV pain meds....(And believe me, that first night totally sucked ass I needed and GOT those IV pain meds every 2 hours)....I didn't sleep, and had to have IV pain meds ever 2 hours...I cried, I was in pain, and I felt completely helpless. I couldn't use my arms to help myself get out of bed, I couldn't sleep, even though I was exhausted...It was miserable. I couldn't take a deep breath because of the immense pressure on my chest. It literally felt like a fat 900 lb. man was sitting on top of me....That night was awful..

But finally, the sun came up, and the doctor made her rounds, and I was discharged home....My pain has been minimal, mostly muscle spasms, which feels like a knife stabbing into my muscle every once in a while, and then I somtimes get cramps  in my muscles (mostly the left one), that seems to last for an hour or so. The pain meds and muscle relaxers are helping, but I even when I take them, the pain and spasms are still there...It comes with the territory...

My parents have had the kids for the past week, and I miss them sooooooo much, but I know that I needed this first week to relax and recover. If they were home, I would probably be trying to do too much, and probably hurt myself or something.....But they come home tomorrow! Yay!

My husband and I tried going to Wal-Mart the other day, and it turned out to be a disaster. He wanted me to sit in a wheelchair, and I refused, and about 15 minutes into shopping, I was in such severe pain, I was crying and Bryan had to walk me out to the car and go back in to pay for the stuff. I have to remind myself that I DID just have surgery.....

The drains are a pain in the ass. They hurt, and it sucks ass trying to find clothes to wear that cover them up..I think I will get them removed on Monday, because I am hardly draining anything anymore..But yes...All the stories you hear about the drains....They are all true. They suck!

My sleeping buddies..Colbie the dog and Sarge the cat

I have to sleep sitting up. I learned very quickly that laying flat makes the pressure intensify on my chest.....I started out sleeping on the couch with like 4 pillows around me, then I realized my butt was not appreciating that, so I figured we could just basically make a chair for me in our bed...And I've been doing that...But the mornings are awful...I wake up so stiff, and that is when my pain is at it's worst. Not even coffee can fix that!

But I am already able to lift my arms up to do my hair, I can wipe my own ass, (which I was scared of), I have absolutely no sensation on my foobs, and it feels very strange, but I guess I am going to have to get used to it. I am able to shower and have fixed up this little rope thing to tie around my neck like a necklace that holds my drains while I am showering,....It's hard for me to get into a car because I can't use my arms to assist me, so I have to rely a lot on my legs/core muscles now...

But you know what the best thing is!?? My doctor called the other day and said the pathology report came back and said that there were no signs of cancer in my breast tissue! So I guess this "fight" with breast cancer is done. I know I still have "that 5 % chance of getting breast cancer" but because I had this surgery, it took my risk down by 90%.......How freaking awesome is that. Cancer, you messed with the wrong biotch!

Sweet Dreams?

On the night of June 13th, I had a horrific dream....I write the exact date down because it marked the countdown of my last month with my breasts. Yup...I am now less than a month away from having my PBM..One month away from having my boobs taken off of my body...On July 13th, I will no longer have my boobs......Kind of scary when I put it that way..In one month from today, I will be up in Albuquerque, boobless, in pain, and hopefully, already feeling a little peace that cancer will not reside in my breasts.Reality is sinking in and is starting to scare the living shit out of me, to tell you the truth...

Anyways....On to my dream....I dreamt that I woke up from having my surgery and everything was so wrong. I remember being in so much pain, (which, yes is wrong, but is totally expected), and I remember having the two drains coming out of each breast/axillae area....The drains were exploding with blood, but I couldn't lift my arms to do anything about it...Then, I remember, in my dream, looking down at my breasts, after the surgery, and they had left on my nipples, and a lot of breast tissue-basically had not even done mastectomies on me.....(I am planning on having skin sparing mastectomies. This means they will save the skin, but take all of the tissue in my breasts, along with the nipples and areolas...I've written about this in a previous blog....)  I remember how FURIOUS I was, because I had planned, researched, prepared, etc, for my surgery, and then to wake up with breasts, still fully intact, was just messed up......I just kept thinking in my dream, "I will get cancer now....Why didn't they take my breasts? I wanted my breasts taken off, so I won't have to worry about getting cancer anymore, but now I have to continue to worry. WTF!?"  I remember hating my boobs....Pure hatred for my breasts....Is this a type of coping mechanism, where I am trying to trick myself into hating my boobs, so that I won't miss them at all when they are gone? WEIRD!

That dream totally sucked major ass...I know anxiety is starting to set in, with just wanting to begin this process....I've already begun my journey with all of this BRCA stuff, and I now just want to get the surgery done, and even though I know I will have to have a few surgeries over the next couple of months, I just want to start this chapter of all of this.....So I know anxiety and fear kind of fed my dream...In less than a month, the new journey will begin and even though I'm scared as hell, I know that I am strong and too stubborn to let anything get me down. With or without boobs, I am still Angela....